DR. KENNETH PHILIP GOLDSTEIN (NPI# 1699801423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699801423 |
| Entity Type | Individual |
| Full Name | DR. KENNETH PHILIP GOLDSTEIN |
| Credential | DMD |
| Practice Address |
840 Church St Ne Bld D Ste1 Marietta GA 30060-8936 |
| Practice Telephone | 7704223636 |
| Practice Fax Number | 7704226022 |
| Mailing Telephone | 7704223636 |
| Mailing Fax Number | 7704226022 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN11334 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861571416 | Kenneth Stephen Goldstein | Psychologist | 2301 Se Browning Rd, Evansville, IN 47725-9046 | 2006-11-03 |
| 1164504320 | Kenneth A Goldstein | Surgery | Eastern Vascular Assoc, 3219 East Tremont Avenue, Bronx, NY 10461 | 2006-10-19 |
| 1376659979 | Kenneth Goldstein | Specialist | 6212 Robinwood Rd, Bethesda, MD 20817-6115 | 2006-08-23 |
| 1770588733 | Kenneth H Goldstein | Internal Medicine | 2161 Kingsley Ave., Suite 200, Orange Park, FL 32073 | 2005-06-16 |
| 1659473239 | Kenneth Brian Goldstein | Internal Medicine | 1000 Birchfield Drive, Suite 1004, Mt. Laurel, NJ 08054 | 2006-09-02 |
| 1194784116 | Kenneth Todd Goldstein | Podiatrist | 6325 Main St, Suite 200, Williamsville, NY 14221-5822 | 2006-03-20 |
| Street Address |
840 CHURCH ST NE BLD D STE1 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-8936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780617159 | Marc Isralsky, PC | Psychologist | 840 Church St Ne, Bldg. F, Marietta, GA 30060-8936 | 2006-07-09 |
| 1821272204 | Marc Isralsky | Psychologist | 840 Church St Ne, Building F, Marietta, GA 30060-8936 | 2007-12-20 |
| 1811184575 | Comprehensive Pain Care, PC | Pain Medicine | 840 Church St Ne, Suite B, Marietta, GA 30060-8936 | 2007-09-26 |
| 1184821886 | John R Stroop | Dentist | 840 Church St Ne, Suite A 2, Marietta, GA 30060-8936 | 2007-06-27 |
| 1205971892 | Frederick W Huff | Psychologist | 840 Church St Ne, Bldg. F1, Marietta, GA 30060-8936 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962577064 | Anand W Suresh | Dentist | 2852 Johnson Ferry Rd, Suite 150, Marietta, GA 30062-5686 | 2006-11-22 |
| 1780605998 | Kavreet Ritu Bath | Dentist | 472 N Sessions St Nw, Suite 22, Marietta, GA 30060-1368 | 2006-07-22 |
| 1205053188 | Hank Bradford | Dentist | 3535 Roswell Rd, Suite 46, Marietta, GA 30062-8826 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764180 | John O. Green, II, Dds, PC | Dentist | 6126 Prestley Mill Rd Ste J, Douglasville, GA 30134-5624 | 2020-09-10 |
| 1104434232 | Conyers Endodontic Center PC | Dentist | 1920 Highway 20 Se Ste A, Conyers, GA 30013-2048 | 2020-07-15 |
| 1790288678 | Crabapple Endodontics | Dentist | 12385 Crabapple Rd Ste 150, Alpharetta, GA 30004-6357 | 2018-03-16 |
| 1326552522 | Lucas Blaine Connor | Dentist | 3625 Braselton Hwy Ste 101, Dacula, GA 30019-4696 | 2017-11-27 |
| 1710382007 | Golden Isles Endodontics, LLC | Dentist | 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522-2044 | 2014-10-29 |
| 1346644176 | Liberty Trails Endodontics, LLC | Dentist | 111 E Mills Ave, Hinesville, GA 31313-2616 | 2014-10-22 |
| 1194136929 | Jimmy W. Arnold | Dentist | 152 N Crest Blvd Ste A, Macon, GA 31210-1847 | 2014-05-14 |
| 1629418371 | Young Okeke | Dentist | 6595 Roswell Rd Ste G-3040, Atlanta, GA 30328-3152 | 2013-06-26 |
| 1720342694 | Lake Oconee Endodontics, LLC | Dentist | 112 Harmony Crossing, Suite 1, Eatonton, GA 31024-9536 | 2012-06-26 |
| 1275891541 | Alison Stpaul | Dentist | 1705 Ga-20, Suite 200, Mcdonough, GA 30253 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.